MARC details
| 000 -LEADER |
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| fixed length control field |
04751nam a22006137a 4500 |
| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION |
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| fixed length control field |
200709s20202020 xxu||||| |||| 00| 0 eng d |
| 022 ## - INTERNATIONAL STANDARD SERIAL NUMBER |
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| International Standard Serial Number |
0741-5214 |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
10.1016/j.jvs.2020.03.049 [doi] |
| 024 ## - OTHER STANDARD IDENTIFIER |
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| Standard number or code |
S0741-5214(20)30604-2 [pii] |
| 040 ## - CATALOGING SOURCE |
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| Original cataloging agency |
Ovid MEDLINE(R) |
| 099 ## - LOCAL FREE-TEXT CALL NUMBER (OCLC) |
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| PMID |
32330599 |
| 245 ## - TITLE STATEMENT |
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| Title |
Maximizing Proximal Seal Zone in Fenestrated Endografting: Evolution in the Approach to Graft Configuration. |
| 251 ## - Source |
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| Source |
Journal of Vascular Surgery. 72(6):1891-1896, 2020 12. |
| 252 ## - Abbreviated Source |
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| Abbreviated source |
J Vasc Surg. 72(6):1891-1896, 2020 12. |
| 252 ## - Abbreviated Source |
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| Former abbreviated source |
J Vasc Surg. 2020 Apr 21 |
| 253 ## - Journal Name |
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| Journal name |
Journal of vascular surgery |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Year |
2020 |
| 260 ## - PUBLICATION, DISTRIBUTION, ETC. |
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| Manufacturer |
FY2021 |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
aheadofprint |
| 265 ## - SOURCE FOR ACQUISITION/SUBSCRIPTION ADDRESS [OBSOLETE] |
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| Publication status |
ppublish |
| 266 ## - Date added to catalog |
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| Date added to catalog |
2020-07-09 |
| 268 ## - Previous citation |
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| -- |
Journal of Vascular Surgery. 2020 Apr 21 |
| 501 ## - WITH NOTE |
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| Local holdings |
Available online from MWHC library: 1995 - present, Available in print through MWHC library: 1999 - 2006 |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
CONCLUSIONS: Significantly more proximal seal length can be obtained using a ZFEN with a large fenestration for the SMA and two small fenestrations for the renals. Whenever possible, surgeons should consider this configuration in order to maximize proximal seal length and potentially reduce the risk of proximal endoleak. An additional advantage of this approach is that stenting of the SMA to prevent shuttering is unnecessary or impossible, making the procedure more technically facile. Copyright (c) 2020. Published by Elsevier Inc. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
METHODS: This is a retrospective cohort study examining the 100 consecutive ZFEN grafts designed for patients at two university centers, from 2012 through 2019. The proximal seal length, from the top of the graft to the beginning of the aneurysm was determined from preoperative CTA. Alternative configurations were evaluated to determine whether they would have provided longer proximal seal. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
OBJECTIVES: Fenestrated endografting for juxta- and para-renal abdominal aortic aneurysms (AAA) affords the ability to seal stent grafts in normal aorta at and above the renal arteries. The Zenith fenestrated graft (ZFEN, Cook Medical, Bloomington, IN) is custom-made to surgeon specification, subject to certain manufacturing limitations. The most common configuration in the pivotal trial and in post-approval commercial use has been a scallop for the superior mesenteric artery (SMA) and two small fenestrations for the renal arteries (configuration "A"). An alternative configuration to maximize seal zone length, consisting of a large fenestration for the SMA and two small fenestrations for the renals (configuration "B") has been routinely adopted at our institutions to potentially prevent type IA endoleak. |
| 520 ## - SUMMARY, ETC. |
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| Abstract |
RESULTS: The two most common configurations were B (N = 45) and A (N = 38). In cases that A was chosen but B could have been built, 5.8 +/- 1.9 mm of seal zone was lost; in cases that B was chosen but A could have been built, 5.8 +/- 2.8 mm of seal zone was gained. In part, due to the increased proximal seal length of configuration B, this configuration has been used more frequently in the last four years of this experience compared to the first four (53% vs. 25%, P = 0.004). Of 95 patients that have completed surgery and follow-up, type Ia endoleaks were observed in 12 patients (13%) on completion angiography, all of which resolved on follow-up imaging without intervention. No SMA was compromised by misalignment of the large fenestration in configuration B. |
| 546 ## - LANGUAGE NOTE |
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| Language note |
English |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Aortic Aneurysm, Abdominal/su [Surgery] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Blood Vessel Prosthesis |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Blood Vessel Prosthesis Implantation/is [Instrumentation] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Endovascular Procedures/is [Instrumentation] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Mesenteric Artery, Superior/su [Surgery] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
*Stents |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Aortic Aneurysm, Abdominal/dg [Diagnostic Imaging] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Blood Vessel Prosthesis Implantation/ae [Adverse Effects] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Endoleak/et [Etiology] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Endovascular Procedures/ae [Adverse Effects] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Humans |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Mesenteric Artery, Superior/dg [Diagnostic Imaging] |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Prosthesis Design |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Retrospective Studies |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Risk Factors |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Time Factors |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
Treatment Outcome |
| 650 ## - SUBJECT ADDED ENTRY--TOPICAL TERM |
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| Topical term or geographic name entry element |
United States |
| 651 ## - SUBJECT ADDED ENTRY--GEOGRAPHIC NAME |
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| Institution |
MedStar Washington Hospital Center |
| 656 ## - INDEX TERM--OCCUPATION |
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| Department |
Surgery/Vascular Surgery |
| 657 ## - INDEX TERM--FUNCTION |
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| Medline publication type |
Journal Article |
| 700 ## - ADDED ENTRY--PERSONAL NAME |
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| Local Authors |
Woo, Edward Y |
| 790 ## - Authors |
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| All authors |
Etkin Y, Fairman RM, Foley PJ 3rd, Jackson BM, Landis G, Newton DH, Woo EY |
| 856 ## - ELECTRONIC LOCATION AND ACCESS |
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| DOI |
<a href="https://dx.doi.org/10.1016/j.jvs.2020.03.049">https://dx.doi.org/10.1016/j.jvs.2020.03.049</a> |
| Public note |
https://dx.doi.org/10.1016/j.jvs.2020.03.049 |
| 942 ## - ADDED ENTRY ELEMENTS (KOHA) |
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| Koha item type |
Journal Article |
| Item type description |
Article |
